Louis Witonsky, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0036948 Issued in FL

Practice address

9030 Kimberly Blvd
Boca Raton, FL 33434-2823

Phone

(561) 488-2300

Fax

(561) 487-6704

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497709620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE",
            "address_2": "SUITE 406",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555544",
            "telephone_number": "305-662-5200",
            "fax_number": "305-284-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 KIMBERLY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342823",
            "telephone_number": "561-488-2300",
            "fax_number": "561-487-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITONSKY",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0036948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260450700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0036948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Lowell Wishneff, D.D.S.
• Bruce Wishnov, DO
• Carol Ann Wishnov, MSW
• Derek Wiston
• With Love Home Care LLC
• Rebecca Ashley Witruke, NP
• Paul Bernard Wizman, MD
• WM R George II MD PA
• Kaitland Rae Woelky, MS, RD, LD/N
• Wogalter PT Group, Inc

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.